David Gardner Johnson, in Rochester, NY - Medicare Nurse Practitioner

David Gardner Johnson, is a medicare enrolled "Nurse Practitioner" in Rochester, New York. His current practice location is 1425 Portland Ave, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 922-3327.

David Gardner Johnson is licensed to practice in New York (license number 343646) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205301496.

Contact Information

	David Gardner Johnson,
	1425 Portland Ave, Rochester, NY 14621-3095
	(585) 922-3327
	(585) 922-3835

Map and Direction

Provider's Profile

Full Name	David Gardner Johnson
Gender	Male
Speciality	Nurse Practitioner
Location	1425 Portland Ave, Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205301496
Provider Enumeration Date: 10/04/2018
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 2163775511
Enrollment ID: I20181101000038

Medical Identifiers

Medical identifiers for David Gardner Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205301496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	343646 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Gardner Johnson allows following entities to bill medicare on his behalf.

Entity Name	Rochester General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Gardner Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David Gardner Johnson, 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: () -	David Gardner Johnson, 1425 Portland Ave, Rochester, NY 14621-3095 Ph: (585) 922-3327

Reviews and Comments

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David Gardner Johnson, - Medicare Nurse Practitioner in Rochester, NY